Organization
ELOHIM PHARMACEUTICALS LLC
Active
Other names
Eagle Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH AGBEBAKU PHARM.D (P.I.C)
(210) 949-0228
Entity
Organization
Contact information
Practice address
8484 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3317
(210) 949-0228
(210) 949-0281
Mailing address
8484 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3317
(210) 949-0228
(210) 949-0281
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
26592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146082
—
TX
Enumeration date
05/27/2010
Last updated
05/27/2010
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